Provider Demographics
NPI:1144794652
Name:BROWN, ALAINA (MATRG, NREMT)
Entity Type:Individual
Prefix:
First Name:ALAINA
Middle Name:
Last Name:BROWN
Suffix:
Gender:F
Credentials:MATRG, NREMT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:12 OAK SHORE DR
Mailing Address - Street 2:
Mailing Address - City:BURNSVILLE
Mailing Address - State:MN
Mailing Address - Zip Code:55306-5506
Mailing Address - Country:US
Mailing Address - Phone:952-388-9062
Mailing Address - Fax:
Practice Address - Street 1:12 OAK SHORE DR
Practice Address - Street 2:
Practice Address - City:BURNSVILLE
Practice Address - State:MN
Practice Address - Zip Code:55306-5506
Practice Address - Country:US
Practice Address - Phone:952-388-9062
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2019-01-17
Last Update Date:2020-06-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2255A2300XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersSpecialist/TechnologistAthletic Trainer
No390200000XStudent, Health CareStudent in an Organized Health Care Education/Training Program